Le SIDA au Ghana (serveur d'exploration)

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Prevalence of clinically captured and confirmed malaria among HIV seropositve clinic attendants in five hospitals in Ghana

Identifieur interne : 000569 ( Main/Exploration ); précédent : 000568; suivant : 000570

Prevalence of clinically captured and confirmed malaria among HIV seropositve clinic attendants in five hospitals in Ghana

Auteurs : Dennis Adu-Gyasi [Ghana] ; Caterina I. Fanello [Thaïlande, Royaume-Uni] ; Frank Baiden [Ghana, Royaume-Uni] ; John Dh Porter [Royaume-Uni] ; Dan Korbel [Royaume-Uni] ; George Adjei [Ghana] ; Emmanuel Mahama [Ghana] ; Alexander Manu [Ghana, Royaume-Uni] ; Kwaku Poku Asante [Ghana] ; Sam Newton [Ghana] ; Seth Owusu-Agyei [Ghana, Royaume-Uni]

Source :

RBID : PMC:4228460

Descripteurs français

English descriptors

Abstract

Background

Malaria is associated with an increase in HIV viral load and a fall in CD4-cell count. Conversely, HIV infection disrupts the acquired immune responses to malaria and the efficacy of antimalarial drugs. This study was carried out in five Ghanaian hospitals to estimate the prevalence of clinically confirmed malaria among HIV patients by evaluating their hospital records.

Methods

This retrospective descriptive cross sectional study reviewed and collected data on malaria, using Case Record Forms from HIV patients’ folders in five hospitals in Ghana.

Results

There were 933 patients records made up of 272 (29.2%) males and 661 (70.8%) females. Majority of the patients were aged between 21–40 (63.6%) years and the rest were between the ages 1–20 (2.8%) years, 41–60 (31.6%) years and 61–80 (2.1%) years of age.

A total of 38.1% (355/933) of the patients were clinically suspected of having clinical malaria. Of these 339 (95.5%) were referred to the laboratory for confirmation of the diagnosis of malaria. Only 4.4% (15/339) of patients tested were confirmed as cases of malaria among the patients that were clinically suspected of having malaria and subsequently confirmed. Fever, was not significantly associated with a confirmed diagnosis of malaria [OR = 3.11, 95% CI: (0.63, 15.37), P = 0.142].

Conclusions

There was a 4.4% prevalence of confirmed malaria and 38.1% of presumptively diagnosed malaria from the case records of HIV patients from the selected hospitals in Ghana.


Url:
DOI: 10.1186/1475-2875-12-382
PubMed: 24172232
PubMed Central: 4228460


Affiliations:


Links toward previous steps (curation, corpus...)


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<sec>
<title>Background</title>
<p>Malaria is associated with an increase in HIV viral load and a fall in CD4-cell count. Conversely, HIV infection disrupts the acquired immune responses to malaria and the efficacy of antimalarial drugs. This study was carried out in five Ghanaian hospitals to estimate the prevalence of clinically confirmed malaria among HIV patients by evaluating their hospital records.</p>
</sec>
<sec>
<title>Methods</title>
<p>This retrospective descriptive cross sectional study reviewed and collected data on malaria, using Case Record Forms from HIV patients’ folders in five hospitals in Ghana.</p>
</sec>
<sec>
<title>Results</title>
<p>There were 933 patients records made up of 272 (29.2%) males and 661 (70.8%) females. Majority of the patients were aged between 21–40 (63.6%) years and the rest were between the ages 1–20 (2.8%) years, 41–60 (31.6%) years and 61–80 (2.1%) years of age.</p>
<p>A total of 38.1% (355/933) of the patients were clinically suspected of having clinical malaria. Of these 339 (95.5%) were referred to the laboratory for confirmation of the diagnosis of malaria. Only 4.4% (15/339) of patients tested were confirmed as cases of malaria among the patients that were clinically suspected of having malaria and subsequently confirmed. Fever, was not significantly associated with a confirmed diagnosis of malaria [OR = 3.11, 95% CI: (0.63, 15.37), P = 0.142].</p>
</sec>
<sec>
<title>Conclusions</title>
<p>There was a 4.4% prevalence of confirmed malaria and 38.1% of presumptively diagnosed malaria from the case records of HIV patients from the selected hospitals in Ghana.</p>
</sec>
</div>
</front>
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<analytic>
<author>
<name sortKey="Ansah, Ek" uniqKey="Ansah E">EK Ansah</name>
</author>
<author>
<name sortKey="Narh Bana, S" uniqKey="Narh Bana S">S Narh-Bana</name>
</author>
<author>
<name sortKey="Asiamah, S" uniqKey="Asiamah S">S Asiamah</name>
</author>
<author>
<name sortKey="Dzordzordzi, V" uniqKey="Dzordzordzi V">V Dzordzordzi</name>
</author>
<author>
<name sortKey="Biantey, K" uniqKey="Biantey K">K Biantey</name>
</author>
<author>
<name sortKey="Dickson, K" uniqKey="Dickson K">K Dickson</name>
</author>
<author>
<name sortKey="Gyapong, Jo" uniqKey="Gyapong J">JO Gyapong</name>
</author>
<author>
<name sortKey="Koram, Ka" uniqKey="Koram K">KA Koram</name>
</author>
<author>
<name sortKey="Greenwood, Bm" uniqKey="Greenwood B">BM Greenwood</name>
</author>
<author>
<name sortKey="Mills, A" uniqKey="Mills A">A Mills</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Ghana</li>
<li>Royaume-Uni</li>
<li>Thaïlande</li>
</country>
</list>
<tree>
<country name="Ghana">
<noRegion>
<name sortKey="Adu Gyasi, Dennis" sort="Adu Gyasi, Dennis" uniqKey="Adu Gyasi D" first="Dennis" last="Adu-Gyasi">Dennis Adu-Gyasi</name>
</noRegion>
<name sortKey="Adjei, George" sort="Adjei, George" uniqKey="Adjei G" first="George" last="Adjei">George Adjei</name>
<name sortKey="Asante, Kwaku Poku" sort="Asante, Kwaku Poku" uniqKey="Asante K" first="Kwaku Poku" last="Asante">Kwaku Poku Asante</name>
<name sortKey="Baiden, Frank" sort="Baiden, Frank" uniqKey="Baiden F" first="Frank" last="Baiden">Frank Baiden</name>
<name sortKey="Mahama, Emmanuel" sort="Mahama, Emmanuel" uniqKey="Mahama E" first="Emmanuel" last="Mahama">Emmanuel Mahama</name>
<name sortKey="Manu, Alexander" sort="Manu, Alexander" uniqKey="Manu A" first="Alexander" last="Manu">Alexander Manu</name>
<name sortKey="Newton, Sam" sort="Newton, Sam" uniqKey="Newton S" first="Sam" last="Newton">Sam Newton</name>
<name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name>
</country>
<country name="Thaïlande">
<noRegion>
<name sortKey="Fanello, Caterina I" sort="Fanello, Caterina I" uniqKey="Fanello C" first="Caterina I" last="Fanello">Caterina I. Fanello</name>
</noRegion>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Fanello, Caterina I" sort="Fanello, Caterina I" uniqKey="Fanello C" first="Caterina I" last="Fanello">Caterina I. Fanello</name>
</noRegion>
<name sortKey="Baiden, Frank" sort="Baiden, Frank" uniqKey="Baiden F" first="Frank" last="Baiden">Frank Baiden</name>
<name sortKey="Korbel, Dan" sort="Korbel, Dan" uniqKey="Korbel D" first="Dan" last="Korbel">Dan Korbel</name>
<name sortKey="Manu, Alexander" sort="Manu, Alexander" uniqKey="Manu A" first="Alexander" last="Manu">Alexander Manu</name>
<name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name>
<name sortKey="Porter, John Dh" sort="Porter, John Dh" uniqKey="Porter J" first="John Dh" last="Porter">John Dh Porter</name>
</country>
</tree>
</affiliations>
</record>

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